The mHealth Revolution

       C. Peter Waegemann
        Executive Director
       mHealth Initiative Inc.
New Era of Participatory Health
 What is Participatory Health?
   New roles for all participants
     Patients
     Clinic...
Participatory Health is based on
the Internet and Mobile Phones
Healthcare catching up
Goal: Enable consumers to
    Research symptoms at any place at any
    time
    Communicate with healthcare providers
   ...
Deloitte Survey: 2009 Survey of
 Health Care Consumers: Key Findings, Strategic Implications

                            ...
Participatory Care Model


     Integration of                 Integration of
                    Public Health
     Welln...
Deloitte Survey: 2009 Survey of
Health Care Consumers: Key Findings, Strategic Implications
      71.5% of consumers want ...
Deloitte Survey: 2009 Survey of
             Health Care Consumers: Key Findings, Strategic
                              ...
Deloitte Survey: 2009 Survey
       9% have a computerized personal health record (PHR) compared to
       8% in 2008.
   ...
Privacy Concerns


                        Very
24% Not                 Concerned
            38% Very
Concerned
         ...
Worldwide: about 800 million cable/satellite
TV subscribers
850 million registered automobiles
950 million people use PCs
...
PHR
For over 2,000 years, the
                             Concern
     patient was rarely                    Developments...
12 Mobile Phone Function Clusters in Healthcare
                     - General Technology View -
                         ...
Problem
Patients can see their clinicians only
periodically and for short periods of
time.
They need to remember all healt...
Issue #1
Patient-caregiver communication is at
the level of the 1950s
  Patient visits the clinician occasionally
  Visit ...
Adjustment of Healthcare to
      the 21st Century
Change in communication
Continuous communication exchanges
as needed
Us...
Application Cluster 1
  Communication between Patients
          and Providers
   Selection of caregiver
   Pre-visit comm...
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Text Messaging
• In general, fewer than 5% of adults are currently 
  able to communicate with their providers 
  electron...
Types of Communication
        Patient to provider (pre-engagement)
1.

          General inquiry
     a.

          Appoi...
Problem

Outdated systems for appointments
and administrative reminders cost
healthcare providers hundreds of
millions of ...
Text Messaging
    Appointments
•
    Medication reminders
•
    General inquiries
•
    Administrative questions
•
    No...
Preferred Communication Like Airline 
             Industry
Programs like “Remember Me” provide 
• A direct path to inform...
Summary: Communication Systems
More communication between clinician and
patient
  Better quality of care
  Fewer visits
  ...
mHealth Agenda for
               Communication
All communication must be discernable and
customizable (usability)
Reason ...
Considerations
ID Systems: Photo and “Remember me”
New reimbursement system
This opens a whole can of worms for evaluating...
Considerations
Providers must have an auto responder function
about emergencies
What is the difference between text messag...
Message/email Style
Standardize structured text or free text
Occasional need for a more personal touch
Text/emailing creat...
Considerations
All communication should be logged and saved
for a minimum period.
Everything that isn’t easily and automat...
Communication Applications
Pre-visit
During an episode
  Financial
  Care communication
  Administrative
Standards Needed
ID
Structured communication
Security/confidentiality
Provider workflow issues
Accessing Information at the
          Point of Care
Patient health information
Insurance eligibility information
Care dec...
Application Cluster 2
Cell Phone as Information Resource at the Point of Care
     Formularies
1.

     Guidelines and pro...
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Lexi‐Comp References




Credit: Renee McLeod
Drug Programs




                Credit: Renee McLeod
Search PubMed
(Pub Search is a free application)




                          Credit: Renee McLeod
Problem
Consumers have access to health
information outside the clinician
community.
They demand a more convenient, open
a...
Problem 
  Point of Care Access to Health Info and 
              Documentation
• In the exam room…
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Application Cluster 3
         Point-of-Care Documentation
Three parts:
   Computer use at the point of care
1.

   Access...
A TEST

frequent or
pregnant?


routine or
positive?

1000u or
10000?

hypertension
or
hypotension?

negative or
hepatitis?
Using the CCR as the
base, a clinician can now
dictate or record through
speech recognition – or
with keyboard or stylus

...
As such recordings will
be integrated over the
next 18 months with
online protocols (new
and existing), a new
process of e...
Point-of-Care Computing in
Participatory Health
Combination of mDevices and monitors
Access to information resources
Rules...
Issues
 Authentication
 Interoperability
   mDevices to HIS and EMR
   Medical devices wireless communication
     EMC
   ...
Accessing Patient Information
 Interoperability
 From internal system
 From a website
 From the phone card
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Cluster 4: Disease
Management
 Wonders of better communication
 Currently focused on
   Diabetes
   Asthma
   Dermatology
...
Diabetes
 Several companies
 Applications
   Parents to monitor their children
   Patients to monitor and report their hea...
Record Blood Sugar Intake




Record   Instant feedback   Follow up
Meal Planning Questions
Disease Management Issues
 FDA approval
 Proof of ROI
 Collection of projects/experiences
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Cluster 5: Teaching,
Monitoring, and Coaching
 New applications in nursing and other
 areas
Issues
 We need to understand projects and
 experiences
 Need for standards
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Application Cluster #6:
Professional Communication
 Preferred communication channels for
 lab, pharmacy etc.
 Colleagues
 ...
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Application Cluster #7:
Administrative Applications
 Wide range of applications
   Provider – Patient applications
   Staf...
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Administrative: Auto-check in
 Appointments
 Self check-in
 Reminders
Application Cluster #8:
Financial Applications
 Charge capture
 Providers accessing eligibility info
 Providers sending bi...
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Application Cluster #9: Emergency
Care in Participatory Health
  Not starting with a “blank sheet”
  Potential need for re...
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Application Cluster #10:
Population Health Communication
in Participatory Health
 Reporting of disease outbreaks
 Instruct...
New Healthcare Communication is the first part
               of the mHealth Revolution


1 Patient Communication
        ...
Application Cluster #11:
Pharma/Clinical Trials
 Clinical trials
 Patient feedback systems
Problem
 Clinical research for trials is taking
 too long and costs too much
Thank you


mHealth Initiative Inc.

www.mhealthinitiative.org
p.waegemann@mhealthinitiative.org
mHealthRevolution mHIseminar.Waegemann
mHealthRevolution mHIseminar.Waegemann
mHealthRevolution mHIseminar.Waegemann
mHealthRevolution mHIseminar.Waegemann
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mHealth Applications: Current Projects and their Status: Understanding the 12 Application Clusters of mHealth by C. Peter Waegemann, Executive Director, mHealth Initiative

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mHealthRevolution mHIseminar.Waegemann

  1. 1. The mHealth Revolution C. Peter Waegemann Executive Director mHealth Initiative Inc.
  2. 2. New Era of Participatory Health What is Participatory Health? New roles for all participants Patients Clinicians Consumers Payers Government Inclusive: Health community within participatory health New communication
  3. 3. Participatory Health is based on the Internet and Mobile Phones Healthcare catching up
  4. 4. Goal: Enable consumers to Research symptoms at any place at any time Communicate with healthcare providers PHR interoperability • Email and text communication • Share information with others Have a personal health assistant Appointments • Communication • Reminders •
  5. 5. Deloitte Survey: 2009 Survey of Health Care Consumers: Key Findings, Strategic Implications Wellness & Healthy Living Traditional Alternative Health Care Health Services Services Healthcare Consumerism Health Information Insurance Resources Health Policy Adapted from Deloitte Survey March 2009
  6. 6. Participatory Care Model Integration of Integration of Public Health Wellness and Alternative Healthy Living Health Systems Services Information Resources Healthcare Services Health Insurance
  7. 7. Deloitte Survey: 2009 Survey of Health Care Consumers: Key Findings, Strategic Implications 71.5% of consumers want to be engaged or seek alternatives 30% of consumers report comparing doctors before choosing one in the last 12 months, up from the 23% who in 2008 reported doing so during the previous 24 months. Before going to the hospital, 32% say they checked to see if their insurance covered the treatment they were going to receive and 34% checked to see if the hospital accepted their insurance; 15% compared hospitals. Trusted sources for information about providers are websites sponsored by doctors or medical practices (48%), medical associations (34%), independent health related websites (33%) and hospital associations (28%). 6 in 10 consumers say they looked online for information about treatment options in the past year. Among prescription medication users, 1 in 3 consumers say they compared available treatment options. For information about the effectiveness and safety of treatment options, medical associations and academic medical centers are most trusted (50% trust these sources); health plans and manufacturers are least trusted (13% or less trust these sources). Source: Deloitte Survey http://www.deloitte.com/dtt/article/
  8. 8. Deloitte Survey: 2009 Survey of Health Care Consumers: Key Findings, Strategic Implications Most trustworthy about treatment costs 37% academic medical centers 35% medical associations 31% community hospitals 29% health plans 19% FDA 13% manufacturers 22% say they looked or asked for information about a health insurance plan in the last 12 months, and 20% say they compared plans before choosing the one they purchased. Source: Deloitte Survey http://www.deloitte.com/dtt/article/
  9. 9. Deloitte Survey: 2009 Survey 9% have a computerized personal health record (PHR) compared to 8% in 2008. 57% want a secure Internet site that would enable them to access their medical records, schedule office visits, refill prescriptions and pay medical bills. 42% want access to an online personal health record connected to their doctor’s office. 55% want to be able to communicate with their doctor via email to exchange health information and get answers to questions. 38% concerned about privacy and security of personal health information- 24% are not at all concerned. 60% believe that the government should set standards for how medical information is collected, stored, exchanged and protected, while others view this as a role for health plans (21%) and employers (5%); 14% say no entity should set standards. Source: Deloitte Survey http://www.deloitte.com/dtt/article/
  10. 10. Privacy Concerns Very 24% Not Concerned 38% Very Concerned Not sure Concerned Not 38% Not sure concerned
  11. 11. Worldwide: about 800 million cable/satellite TV subscribers 850 million registered automobiles 950 million people use PCs 1.2 billion fixed landline phones 1.3 billion access the internet About 1.4 billion TV sets in use 1.5 billion people have at least 1 credit card Total worldwide mobile subscriber base: over 4 billion (Almost 50% of world population has a mobile phone).
  12. 12. PHR For over 2,000 years, the Concern patient was rarely Developments over informed about the 2009: Internet medical circumstances. mHealth reliability Disease details were left Revolution 1 million PHRs to doctors. As recently as 10 mill. PHR-Lites 1965, patients were not 3-4 mill. PPPs allowed to see medical books in publicly funded Interoperability sed 20% EMR libraries a Dot.com through R-b Implementation CC ecosystems bubble Professionally bursts guided 13 million disease Personal Health 2007-2008 communities Records will support Health 2.0: new 2002-2006 research. Disease- guidelines Patient specific 1999-2000 support and protocols Communities groups Internet opens up develop HIPAA gives the health patient the right information to a copy of the medical record
  13. 13. 12 Mobile Phone Function Clusters in Healthcare - General Technology View - 4 Disease 1 Patient Communication Management 3 Point-of- Care 2 Access to web- • Before Visit: •Diabetes •Appointment •Dermatology Documentation •Agenda (Reason for Visit) based resources •Asthma •Access patient history •Patient Information (CCR) Guidelines and Protocols •Smoking Cessation •Documentation Data Set Decision Support •More (information capture) • General Telemedicine Guidance •Transmission •Text messages Formulas and Medications 5 P-o-C Education •Navigation •Email •Medication Reminders Programs •Questions (with photos if Teaching Applications applicable) •Patient education 6 Professional 12 BAN Communication Pharmacy, New Body Area Colleagues, Lab, Network ecosystem Hospital, Others 8 Financial 7 Administrative Appl. 9 10 Public 11 Applications: •Patient Tracking Ambulance/EMS Health •Charge Capture •Asset Tracking Pharma/Clinical •Disease •Search for PHR and •Eligibility Checking •Scheduling Reporting other Resources •Payment Trials •Bed Assignment •Bioterrorism •Capture information •Other Financial •Clinical Trials •Other Communication Communication •Transmit to ED Systems
  14. 14. Problem Patients can see their clinicians only periodically and for short periods of time. They need to remember all health symptoms and health related events within a very short visit that may be emotionally laden.
  15. 15. Issue #1 Patient-caregiver communication is at the level of the 1950s Patient visits the clinician occasionally Visit is short, compressed, and inconvenient
  16. 16. Adjustment of Healthcare to the 21st Century Change in communication Continuous communication exchanges as needed Using the Internet and mDevices as appropriate Requires patient education Requires workflow changes at providers
  17. 17. Application Cluster 1 Communication between Patients and Providers Selection of caregiver Pre-visit communication Consumer/patient providing information In the care process References
  18. 18. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  19. 19. Text Messaging • In general, fewer than 5% of adults are currently  able to communicate with their providers  electronically • When asked, 62% of adults stated that electronic  communication would influence their choice  • 75% stated they wanted to schedule  appointments electronically • Harris Interactive:  Feb. 8, 2007 • 50% of 12 to 24 year olds send or receive text  messages • Ipsos:  2007 Credit: Renee McLeod
  20. 20. Types of Communication Patient to provider (pre-engagement) 1. General inquiry a. Appointment b. Insurance coverage or cost c. Provider-patient interactively 2. Appointment confirmation/reminder a. Reason for visit: Agenda b. Referrals and other care management c. communication, e.g. How r u? Other d. Patient education 3.
  21. 21. Problem Outdated systems for appointments and administrative reminders cost healthcare providers hundreds of millions of dollars.
  22. 22. Text Messaging Appointments • Medication reminders • General inquiries • Administrative questions • Non‐healthcare related communication • Health promotion • Patient‐initiated communication • – Need to reschedule appointment – Need for prescription refill (?)
  23. 23. Preferred Communication Like Airline  Industry Programs like “Remember Me” provide  • A direct path to information about you when  calling from a phone number pre‐registered  with your provider.  • The system recognizes your phone number,  instantaneously pulls up your information and  even greets you by name.  • All of this information is available within a few  seconds at the beginning of the call
  24. 24. Summary: Communication Systems More communication between clinician and patient Better quality of care Fewer visits Disruptive patient behavior mHealth is the enabler
  25. 25. mHealth Agenda for Communication All communication must be discernable and customizable (usability) Reason for visit Both parties need acknowledgement. (This may even be more important for the provider because it will allow them to be better prepared and confirm that tests required for the visit have been done.) Requires new workflow, parameters and protocols
  26. 26. Considerations ID Systems: Photo and “Remember me” New reimbursement system This opens a whole can of worms for evaluating the time and impact of each communication. Do all communications have equal value? If nine communications are required in one instance and five in another, are they paid the same? How do you measure the amount of work required by the physicians behind the scenes for each communication? Would compensation paradigms that include a frequency component invite abuse? Can the evaluation of the value/compensation be automated or does it need a new bureaucracy? Is this another good reason to move to capitated compensation structures so that providers are free to focus on the optimal way to arrive at best case outcomes?
  27. 27. Considerations Providers must have an auto responder function about emergencies What is the difference between text messaging and telephone messages in terms of impact and liability? Perhaps the terminology should be “emailing or text messaging” since text messages are limited to 140 characters, which will often be too limiting.
  28. 28. Message/email Style Standardize structured text or free text Occasional need for a more personal touch Text/emailing creates a far superior audit trail to telephone messaging, so assuming that the provider has acted properly, it reduces liability and the likelihood of litigation. Fail-safe controls are required to ensure a timely response to all communications, otherwise a new avenue of liability would be created. Need patient agreement and clear guidelines Guidance where text messaging should be used; what requirements for response and saving it (data base, EMR document).
  29. 29. Considerations All communication should be logged and saved for a minimum period. Everything that isn’t easily and automatically identifiable as unnecessary (such as appointment reminders) should be saved in an EMR, otherwise time/money is wasted deciding on what’s worthy.
  30. 30. Communication Applications Pre-visit During an episode Financial Care communication Administrative
  31. 31. Standards Needed ID Structured communication Security/confidentiality Provider workflow issues
  32. 32. Accessing Information at the Point of Care Patient health information Insurance eligibility information Care decision support information Formularies Guidelines and protocols Disease management information Access to scientific body of medicine Other
  33. 33. Application Cluster 2 Cell Phone as Information Resource at the Point of Care Formularies 1. Guidelines and protocols 2. Decision support 3. Telemedicine guidelines 4. Accessing specific CCR information 5. Patient’s comments re Web 6. Patient directives 7. PHR 8.
  34. 34. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  35. 35. Lexi‐Comp References Credit: Renee McLeod
  36. 36. Drug Programs Credit: Renee McLeod
  37. 37. Search PubMed (Pub Search is a free application) Credit: Renee McLeod
  38. 38. Problem Consumers have access to health information outside the clinician community. They demand a more convenient, open and communicative system. They want privacy guaranteed but also want to be able to share health data with others
  39. 39. Problem  Point of Care Access to Health Info and  Documentation • In the exam room…
  40. 40. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  41. 41. Application Cluster 3 Point-of-Care Documentation Three parts: Computer use at the point of care 1. Accessing information 2. Within the system a. Outside b. Documenting 3. User preferences Technologies Integration
  42. 42. A TEST frequent or pregnant? routine or positive? 1000u or 10000? hypertension or hypotension? negative or hepatitis?
  43. 43. Using the CCR as the base, a clinician can now dictate or record through speech recognition – or with keyboard or stylus This opens up a wide range of workflow options at the point of care
  44. 44. As such recordings will be integrated over the next 18 months with online protocols (new and existing), a new process of electronically enabled care will emerge
  45. 45. Point-of-Care Computing in Participatory Health Combination of mDevices and monitors Access to information resources Rules for documentation Integration into legacy systems
  46. 46. Issues Authentication Interoperability mDevices to HIS and EMR Medical devices wireless communication EMC Data integrity
  47. 47. Accessing Patient Information Interoperability From internal system From a website From the phone card
  48. 48. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  49. 49. Cluster 4: Disease Management Wonders of better communication Currently focused on Diabetes Asthma Dermatology Preventive care in pregnancy Smoking cessation Hypertension
  50. 50. Diabetes Several companies Applications Parents to monitor their children Patients to monitor and report their health data
  51. 51. Record Blood Sugar Intake Record Instant feedback Follow up
  52. 52. Meal Planning Questions
  53. 53. Disease Management Issues FDA approval Proof of ROI Collection of projects/experiences
  54. 54. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  55. 55. Cluster 5: Teaching, Monitoring, and Coaching New applications in nursing and other areas
  56. 56. Issues We need to understand projects and experiences Need for standards
  57. 57. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  58. 58. Application Cluster #6: Professional Communication Preferred communication channels for lab, pharmacy etc. Colleagues Specialty-specific communities
  59. 59. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  60. 60. Application Cluster #7: Administrative Applications Wide range of applications Provider – Patient applications Staff communication With others Text v. email
  61. 61. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  62. 62. Administrative: Auto-check in Appointments Self check-in Reminders
  63. 63. Application Cluster #8: Financial Applications Charge capture Providers accessing eligibility info Providers sending bills Payers in active communication with patients and providers Online real-time adjudication
  64. 64. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  65. 65. Application Cluster #9: Emergency Care in Participatory Health Not starting with a “blank sheet” Potential need for record locator system Substantial cost reductions expected
  66. 66. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  67. 67. Application Cluster #10: Population Health Communication in Participatory Health Reporting of disease outbreaks Instructing patients Bioterrorism Surveillance Population notifications Other
  68. 68. New Healthcare Communication is the first part of the mHealth Revolution 1 Patient Communication 3 Point-of- Care 2 Access to web- • Before Visit: 4 Disease •Appointment Documentation •Agenda (Reason for Visit) based resources •Access patient history Management •Patient Information (CCR) Guidelines and Protocols •Documentation Data Set •Diabetes Decision Support (information capture) • General •Dermatology Telemedicine Guidance •Transmission •Text messages •Asthma Formulas and Medications •Navigation •Email •Smoking Cessation •Medication Reminders •More •Questions (with photos if applicable) •Patient education 5 P-o-C Education 11 Pharma/Clinical Programs Teaching Applications Trials •Clinical Trials 6 Professional •Patient Feedback Systems Communication 7 Administrative 8 Financial 9 10 Public Pharmacy, Applications Colleagues, Lab, Applications: Ambulance/EMS Health •Patient Tracking Hospital, Others •Charge Capture •Disease •Search for PHR and •Asset Tracking •Eligibility Checking Reporting other Resources •Scheduling •Payment •Bioterrorism •Capture information •Bed Assignment •Other Financial Communication •Transmit to ED •Other Communication Systems
  69. 69. Application Cluster #11: Pharma/Clinical Trials Clinical trials Patient feedback systems
  70. 70. Problem Clinical research for trials is taking too long and costs too much
  71. 71. Thank you mHealth Initiative Inc. www.mhealthinitiative.org p.waegemann@mhealthinitiative.org

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